Mannequin Sizing Guidelines For the TRISVR® Surgical Ventricular Restoration Procedure Selection of MannequinTM size is determined by multiplying body surface area by a conversion factor of 50 to 60 milliliters per square meter.* The degree of dilatation present in the basal portion of the left ventricle pre-operatively determines the conversion factor to be used. The following guidelines may assist the clinical team in selecting the appropriate Mannequin size for each individual patient. 1 2 3 Determine Body Surface Area (BSA). Assess the degree of dilatation present in the base of the left ventricle at end-diastole. Measure above papillary muscles and below mitral valve. Use the following guidelines to calculate Mannequin size. If the base of the left ventricle is… Use this conversion factor… Non-dilated BSA x 50 ml/m2 Moderately dilated BSA x 55 ml/m2 Grossly dilated (tenting of mitral valve present) BSA x 60 ml/m2 Assessing Basal Dilatation: Examples of Non-dilated and Dilated Base Note: If diameter of LV base at end-diastole is greater than 55 mm, use 60 ml/m2 conversion factor. Mannequin size based on conversion factor of… BSA 50 ml/m2 55 ml/m2 60 ml/m2 1.5 1.6 1.7 1.8 1.9 2.0 2.1 2.2 2.3 2.4 2.5 2.6 80 cc 80 cc 85 cc 90 cc 90 cc 100 cc 100 cc 110 cc 110 cc 120 cc 120 cc 130 cc 80 cc 90 cc 90 cc 100 cc 100 cc 110 cc 120 cc 120 cc 130 cc 130 cc 140 cc 140 cc 90 cc 100 cc 100 cc 110 cc 110 cc 120 cc 130 cc 130 cc 140 cc 140 cc 150 cc 150 cc Non-Dilated Base Dilated Base * M Di Donato, A Frigiola, M Benhamouda, L Menicanti. Safety and Efficacy of Surgical Ventricular Restoration in Unstable Patients With Recent Anterior Myocardial Infarction. Circulation. 2004:110:II-169–II-173. These formulas are intended as a guide. Selection of the proper Mannequin is the responsibility of the medical professional. Chase Medical, 1876 Firman Drive, Richardson, Texas 75081 U.S.A. / www.chasemedical.com Phone: (800) 787-0378 or (972) 783-0644 / Fax: (972) 235-3446 / Email: chase@chasemedical.com Copyright 2005 Chase Medical. Mannequin is a trademark of Chase Medical. TRISVR is a registered service mark of Chase Medical. TS-SVR 002:9/05 Quick Reference Chart